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1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 | |
| (541) 881-2800 | |
| (541) 881-2825 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1219 Sw 4th Ave Unit 2, Ontario, Oregon |
| Authorized Official Name and Position | Kenneth Robert Hart (CEO) |
| Authorized Official Contact | 2086427364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1441 Ne 10th Ave Payette ID 83661-5420 Ph: (208) 642-9376 | 1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 Ph: (541) 881-2800 |
| NPI Number | 1316402258 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316402258 | NPI | - | NPPES |
Peavey Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 541-889-2229 | |
Annette Louise Koski Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Se Goodfellow St, Ontario, OR 97914 Phone: 541-889-6288 | |
Vernon E Barton Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Sw 3rd Ave, Ontario, OR 97914 Phone: 541-889-0771 Fax: 541-889-8788 | |
Clapperton Np-c Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-7781 |